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CMS22v12- Encounter with Second Hypertensive Reading SBP 130 to 139 OR DBP 80 to 89

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      ​​Thank you for your inquiry for CMS2v12: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented. Per the Guidance in the measure specification, the last or most recent readings should be utilized. Two blood pressure readings recorded on the same date at the exact same time seems like a possible data entry error. That said, given the diastolic readings across both encounters (1/1/24 and 12/25/23), such a patient would likely qualify for the population to which you refer: Second Hypertensive BP Reading: Patients with second elevated reading of SBP of 130-139 mmHg OR DBP of 80-89 mmHg (and not SBP >=140 OR DBP >=90).
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      ​​Thank you for your inquiry for CMS2v12: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented. Per the Guidance in the measure specification, the last or most recent readings should be utilized. Two blood pressure readings recorded on the same date at the exact same time seems like a possible data entry error. That said, given the diastolic readings across both encounters (1/1/24 and 12/25/23), such a patient would likely qualify for the population to which you refer: Second Hypertensive BP Reading: Patients with second elevated reading of SBP of 130-139 mmHg OR DBP of 80-89 mmHg (and not SBP >=140 OR DBP >=90).
    • CMS0022v12

      Hi Team,

      Consider the below statements from Numerator of CMS22v12:

      Encounter with Second Hypertensive Reading SBP 130 to 139 OR DBP 80 to 89
      ( "Qualifying Encounter during Measurement Period" QualifyingEncounter
          let EncounterLastSystolicBP: Last(["Physical Exam, Performed": "Systolic blood pressure"] SystolicBP
              where Global."NormalizeInterval"(SystolicBP.relevantDatetime, SystolicBP.relevantPeriod)ends during QualifyingEncounter.relevantPeriod
              sort by start of Global."NormalizeInterval"(relevantDatetime, relevantPeriod)
          ),
          EncounterLastDiastolicBP: Last(["Physical Exam, Performed": "Diastolic blood pressure"] DiastolicBP
              where Global."NormalizeInterval"(DiastolicBP.relevantDatetime, DiastolicBP.relevantPeriod)ends during QualifyingEncounter.relevantPeriod
              sort by start of Global."NormalizeInterval"(relevantDatetime, relevantPeriod)
          )
          where ( EncounterLastSystolicBP.result in Interval[130 'mm[Hg]', 139 'mm[Hg]']
              or EncounterLastDiastolicBP.result in Interval[80 'mm[Hg]', 89 'mm[Hg]']
          )
            and not ( EncounterLastSystolicBP.result >= 140 'mm[Hg]'
                or EncounterLastDiastolicBP.result >= 90 'mm[Hg]'
            )
      )
        intersect "Encounter with Hypertensive Reading Within Year Prior"

      Scenario:

      Consider,Patient ABC aged 20 years at the start of measurement period(Measurement year as 2024)

      Visit 1
      Encounter to Screen for Blood Pressure - D3921 
      Start date- 1-1-2024 16:15:00.000
      End date- 1-1-2024 16:30:00.000

      Systolic blood pressure- 8480-6 
      Start date- 1-1-2024 16:16:00.000
      End date- 1-1-2024 16:16:00.000

      Diastolic blood pressure- 8462-4 
      Start date- 1-1-2024 16:25:00.000
      End date- 1-1-2024 16:25:00.000

      Patient has two systolic BP readings recorded on same date and time(Measurement year)
      LastSystolicBP.result = 139 'mm[Hg]' on 1-1-2024 16:16:00.000
      LastSystolicBP.result = 140 'mm[Hg]' on 1-1-2024 16:16:00.000
      LastDiastolicBP.result = 79 'mm[Hg]' on 1-1-2024 16:25:00.000

      Patient has BP readings recorded in previous year
      Systolic blood pressure- 8480-6 
      Start date- 12-25-2023 16:15:00.000
      End date- 12-25-2023 16:15:00.000

      Diastolic blood pressure- 8462-4 
      Start date- 12-25-2023 16:16:00.000
      End date- 12-25-2023 16:16:00.000

      LastSystolicBP.result = 139 'mm[Hg]' on 12-25-2023 16:15:00.000
      LastDiastolicBP.result = 82 'mm[Hg]' on 12-25-2023 16:16:00.000

      Query:
      For Patient ABC which systolic result out of the two systolic readings should be considered for measurement year?
      Would Patient ABC qualify for the above criteria?

      Kindly assist us on the above queries urgently as client deliverables are dependent upon it.

            edave Mathematica EC eCQM Team
            AkashP Akash Pawar
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